Ambelang, Charles Arthur

Ambelang, Charles Arthur is an individual health care provider with primary practice located at 5666 E State St , Rockford IL 61108-2425. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Ambelang, Charles Arthur can be contacted via phone (815) 226-2000.

Contact Information

Primary practice address
5666 E State St Rockford IL 61108-2425
Phone: (815) 226-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 53957-020 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X L2511673 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1477718377
LBN Legal business name Ambelang, Charles Arthur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2008
Last updated Dec 13th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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